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Not yet recruitingNCT07586241Updated May 14, 2026

Vascular Endothelial Inflammation and Health Status In INOCA (VISION-INOCA)

An observational study in Ischemia and Non-obstructive Coronary Arteries, sponsored by NYU Langone Health. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-14.

Sponsored by NYU Langone Health · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
250
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate coronary artery and peripheral vein vascular endothelial profiles in patients with ischemia with non-obstructive coronary arteries (INOCA) who undergo coronary function testing (CFT). The aims are: (1) Evaluate coronary artery endothelial profiles and associations with coronary microvascular dysfunction (CMD) in INOCA. (2) Assess brachial vein endothelial cell profiles in patients with INOCA and associations with CMD, and (3) Characterize relationships between endothelial signatures and anginal symptoms, functional status, and physical activity at baseline and 1-year follow-up.

02

Conditions studied

  • Ischemia and Non-obstructive Coronary Arteries

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Keywords

  • INOCA
03

In context

Ischemia

545 studies on the registry are indexed under Ischemia; 72 are open to participants now.

This study's planned enrollment of 250 is above the median of 176 across 166 observational studies indexed under Ischemia.

Browse Ischemia studies →

Lead sponsor

NYU Langone Health is the lead sponsor of 1,430 studies on the registry; 258 are open to participants now.

Of its 235 completed or terminated interventional studies of FDA-regulated products, 197 (84%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult men and women age ≥18 with suspected INOCA who are planned to undergo clinically indicated coronary function testing.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Adult age ≥18 years referred for clinically indicated coronary angiography
  2. Chronic coronary disease or potentially ischemic symptoms as the indication for coronary angiography
  3. Possible or suspected ischemia with non-obstructive epicardial coronary arteries (INOCA)

Exclusion criteria

Exclusion Criteria:

Clinical (Pre-Cath) Exclusion criteria:

  1. Anemia ( \<9 mg/dl)
  2. Severe valvular heart disease
  3. Acute myocardial infarction within 30 days
  4. Severe valvular heart disease
  5. (NYHA) Functional Class III or IV heart failure
  6. Hypertrophic obstructive cardiomyopathy or severe left ventricular hypertrophy
  7. Pregnancy (because of potential exercise/activity limitations and symptom changes)
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
250 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Non-Obstructive CAD

    Participants with ischemia with non-obstructive coronary arteries (INOCA) and endothelial sampling will be fully eligible for long-term follow up. A Wearable activity monitoring device (Fitbit) will be provided post-procedure to these participants. Participants will be followed for a minimum of 1 year.

    Procedure: Invasive coronary angiography · Procedure: Coronary Artery Endothelial Cell Sampling · Device: Fitbit · Diagnostic Test: Invasive coronary function testing

  • Obstructive CAD

    Participants with obstructive coronary artery disease (CAD) at the time of angiography may undergo endothelial sampling and blood collection but will not be provided a wearable activity monitoring device or undergo long-term follow up.

    Procedure: Invasive coronary angiography · Procedure: Coronary Artery Endothelial Cell Sampling

Interventions

  • ProcedureInvasive coronary angiography

    Participant will undergo invasive coronary angiography as clinically indicated (standard of care).

  • ProcedureCoronary Artery Endothelial Cell Sampling

    Endothelial cells will be obtained from clinical coronary guidewires after retrieval from the guide catheter.

  • DeviceFitbit

    Wearable activity monitoring device that measures physical activity based on the number of steps per day. The device also tracks sleep efficiency (exploratory) through a proprietary algorithm, and other health metrics. Daily step count and heart rate are recorded on the wearable device.

  • Diagnostic testInvasive coronary function testing

    Participants will undergo invasive coronary function testing as clinically indicated (standard of care).

06

What researchers measure

Primary outcomes

  1. Change in Seattle Angina Questionnaire (SAQ) score

    The Seattle Angina Questionnaire (SAQ) scores range from 0 to 100 for all five domains (Physical Limitations, Angina Stability, Angina Frequency, Treatment Satisfaction, and Quality of Life), with higher scores indicating better health status, fewer limitations, and less frequent angina. A 10-point change in score is typically considered clinically significant.

    Time frame: Baseline, 1 year follow up

  2. Change in Duke Activity Status Index (DASI) score

    The DASI is a 12-item self-report questionnaire used to assess a patient's functional capacity. Scores range from 0 to 58.2, with higher scores indicating better functional capacity.

    Time frame: Baseline, 1 year follow up

07

Study locations

1 site
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References and documents

Individual participant data

Plan to share: Yes — The de-identified participant data from the final research dataset will be shared upon reasonable request beginning 9 to 36 months after publication or as required by a condition of awards or supporting agreements, provided the requesting investigator executes a data use agreement with NYU Langone Health. This instance of data sharing will also require separate IRB review as well as review from NYU Langone's Data Sharing Strategy Board (DSSB). Requests should be directed to nathaniel.smilowitz@nyulangone.org. To gain access, data requestors will need to sign a data access agreement.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research.

Access criteria: The investigator who proposed to use the data will be granted access upon reasonable request. Requests should be directed to nathaniel.smilowitz@nyulangone.org. To gain access, data requestors will need to sign a data access agreement. This instance of data sharing will also require separate IRB review as well as review from NYU Langone's DSSB. Study data will also be submitted to publicly available databases. NHLBI BioData Catalyst (BDC) will provide long-term access to de-identified dataset(s). RNA sequencing data will be deposited into the NCBI Gene Expression Omnibus (GEO) database, a public functional genomics data repository. Data will be made available at the time of associated publication, as per NIH policy.

Data sharing details ↗ · biodatacatalyst.nhlbi.nih.gov

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07586241
Lead sponsor
NYU Langone Health
Responsible party
Sponsor
First posted
May 14, 2026
Start date
May 2026 (estimated)
Primary completion
Dec 31, 2030 (estimated)
Completion
Mar 1, 2031 (estimated)
Last update
May 14, 2026

Study contacts

Nathaniel Smilowitz, MD
Contact
nathaniel.smilowitz@nyulangone.org
212-263-5656
Manuela Plazas Montana
Contact
inoca@nyulangone.org
917-921-6436
Nathaniel Smilowitz, MD
principal investigator · NYU Langone Health

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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